Navigating Certificate of Need (CON) Architecture

Healthcare facility development often requires more than vision and funding—it demands navigating a complex regulatory landscape known as the Certificate of Need (CON) process. At MRB Group, we provide architectural and engineering services that support healthcare providers through the CON journey—whether you’re building in New York, Illinois, North Carolina, or any of the 35+ states that require CON approval.

Our team understands how to translate state-specific regulatory requirements into successful healthcare design strategies that position your project for timely approval and long-term success.

What Is a Certificate of Need?

A Certificate of Need is a legal document required in many states before beginning significant healthcare projects, such as building new hospitals, outpatient centers, or long-term care facilities. The purpose is to prevent oversupply, promote cost-effective care, and ensure that new services align with documented community needs.

CON regulations vary by state and can involve state health departments, public hearings, and detailed justifications of the proposed service, site, and building design.

The Role of Architecture in the CON Process

At MRB Group, we recognize that design is central to the CON application. Your project’s success depends on meeting strict compliance standards related to patient safety, infection control, accessibility, and operational efficiency—all while addressing state-specific guidelines and expectations.

We offer:

• Strategic Planning Support: Aligning design intent with service goals, health equity, and regulatory benchmarks.

• Regulatory Interpretation: Translating each state’s unique CON requirements into practical architectural solutions.

• Application-Ready Documentation: Developing code-compliant site plans, floor plans, and narratives required for submission.

• Risk Avoidance: Identifying “deal-breakers” early in the planning process—before lease agreements or capital commitments are made.

MRB Group’s CON Services

Our team has successfully supported projects in states with active CON programs, including but not limited to New York, Illinois, and North Carolina. We tailor our services to meet jurisdiction-specific requirements and client goals:

• Feasibility analysis and regulatory strategy

• Coordination with CON consultants and state agencies

• Design compliance for submittals and public hearings

• Peer reviews and expert consultation

• Post-approval implementation, mock surveys, and remediation support

When to Involve an Architect

Ideally, we become involved at the earliest stages—before site acquisition or schematic design. Early architectural input ensures:

• Alignment with state-specific facility requirements

• Efficient workflows for care delivery

• Reduced risk of denial or costly redesign

Whether you’re launching a new ambulatory surgery center or expanding an existing long-term care facility, we help you make informed decisions and create compliant, patient-centered environments.

Why MRB Group?

We bring together decades of healthcare design experience, multi-jurisdictional expertise, and a collaborative approach that simplifies a complex process. Our team:

• Understands the operational realities of healthcare environments

• Has worked with hospitals, nursing homes, urgent care centers, and diagnostic & treatment facilities across multiple states

• Works in tandem with your CON consultant or as your primary design advisor

• Leverages knowledge of both national best practices and local regulatory nuances

Let’s Build Smarter—Together

Healthcare development is too important to be delayed by regulatory missteps. At MRB Group, we help healthcare leaders navigate the CON process with clarity, compliance, and confidence.

Ready to start your project? Contact us today for a consultation and let’s talk about how we can support your next healthcare facility—wherever it may be.